Multilating multidigital injuries: use of a free microvascular flap from a nonreplantable part

In severe hand injuries, all usable parts should be salvaged from amputated nonreplantable areas. A case is presented in which a free flap taken from an amputated finger was used to reconstruct a severely injured but viable remaining digit. This was done as part of the primary reconstructive effort and provided a well vascularized protective cover for the surviving injured digit.